Organization
CLINICA SAN JUDAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA MARTINEZ (OFFICE ADMINISTRATOR)
(323) 773-0591
Entity
Organization
Contact information
Practice address
4946 FLORENCE AVE, BELL, CA 90201-4319
(323) 773-0591
(323) 773-3222
Mailing address
4946 FLORENCE AVE, BELL, CA 90201-4319
(323) 773-0591
(323) 773-3222
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A36591
CA
Other
Enumeration date
10/04/2011
Last updated
03/24/2012
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